Five steps to: Paediatric vision screening

Lee, Elizabeth Y; Sivachandran, Nirojini; Isaza, Gloria

doi:10.1093/pch/pxy044

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…Screening involved observation of the external eye, Hirschberg’s test, and VA measurement [ 14 , 15 ]. External observation had two aspects: observation of abnormal behavior and observation of any eye abnormalities of the child.…”

Section: Methodsmentioning

confidence: 99%

Validity of vision screening program conducted by preschool teachers: An interventional study

Mezbah¹,

Omar²,

Isa³

et al. 2022

Med Hypothesis Discov Innov Ophthalmol

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Background: Clear vision is crucial for effective learning among preschool children. Hence, early detection of vision impairment and prompt treatment are required to improve prognosis. Currently, limited information is available, and no program exists to screen for vision impairment among preschoolers in Bangladesh. This study aimed to validate the KieVision™ Preschool Vision Screening Kit, translated into the Bengali language, to improve vision impairment detection among preschool children. Methods: In this prospective case–control study, 60 preschool teachers from Chittagong were randomly selected. The study group was trained to conduct vision screening among preschool children using the translated kit, whereas the control group was trained using the Chittagong Eye Infirmary and Training Complex (CEITC) School Teachers’ Training Module. Fifteen preschool children aged 4–6 years were screened by each preschool teacher and again by the optometrist. Results: Sixty preschool teachers screened 900 children. The results showed a higher validity of vision screening findings by the preschool teachers in the study group (sensitivity, 68.00%; specificity, 92.75%) than in the control group (sensitivity 47.37%, specificity 70.39%). The level of agreement between the preschool teachers and optometrists was high for all tests (first-order agreement coefficient [AC1] ? 0.80 in the study group). The sensitivity and specificity of the visual acuity test for the study group were 59.65% and 94.15%, respectively, while in the control group it was 13.33% and 62.54%, respectively. A similar trend was noted in the general observation component and Hirschberg’s test. Conclusions: The Bengali Language KieVision™ Preschool Vision Screening Kit can be used effectively by preschool teachers in vision screening programs to improve the identification of vision impairment among preschool children in Bangladesh.

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Section: Methodsmentioning

confidence: 99%

Validity of vision screening program conducted by preschool teachers: An interventional study

Mezbah¹,

Omar²,

Isa³

et al. 2022

Med Hypothesis Discov Innov Ophthalmol

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“…It has been noted that the persistent lack of awareness regarding childhood eye diseases, specifically retinoblastoma, can result in delayed clinic visits [ 11 , 28 ]. Childhood vision screening is widely recognized as a crucial method for identifying vision abnormalities and cancers like retinoblastoma in children [ 29 , 30 ]. Based on our own experience, the primary symptom that prompts presentation and referral is proptosis (Fig.…”

Section: Discussionmentioning

confidence: 99%

Presentation pattern and survival rate of retinoblastoma following chemotherapy: a prospective study

Atima,

Idakwo,

Komolafe

et al. 2023

BMC Pediatr

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Background This study presents the clinical pattern of presentation and survival rate of retinoblastoma, which is the most prevalent form of pediatric intraocular cancer. The aim of this study is to provide baseline information about the clinical presentation and management of retinoblastoma at ECWA Eye Hospital. Additionally, the study identifies priority areas for enhancing medical care for children diagnosed with this cancer. ECWA Eye Hospital, situated in Kano State, Nigeria, is a specialized eye center located in the North-Western region of the country. Methods A prospective study spanning five years was conducted at ECWA Eye Hospital to investigate clinically diagnosed cases of retinoblastoma. The study took place from January 2018 to December 2022. The patients received standardized pre-medication and chemotherapy protocols for retinoblastoma. Subsequently, a five-year follow-up was conducted to monitor the patients’ progress. The collected data was analyzed, descriptive statistics were generated, and the survival rate was calculated. Results During the five-year study period, a total of 35 cases of retinoblastoma were diagnosed. The patients had an average age of 3.21 ± 1.32 years. The most common presentation patterns observed were fungating ocular mass and proptosis. Among the cases, there were 10 instances of bilateral proptosis and 25 instances of unilateral proptosis. While no patients exhibited bilateral leukocoria, eight cases of unilateral leukocoria with anterior segment seedlings were identified. The additional patterns of presentation are proptosis, leukocoria, fungating orbital mass, redness and loss of vision. The mortality rate was 80% (28 cases), while the survival rate was 20% (7 cases). Notably, all the survivors had unilateral retinoblastoma. Conclusion The majority of cases observed at ECWA Eye Hospital involve advanced retinoblastoma. In low-resource settings where alternative treatment options are limited, chemotherapy is considered a viable treatment option. Early presentation of retinoblastoma in patients may lead to a higher survival rate when chemotherapy is administered.

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“…Newborns may exhibit disconjugate gaze, or intermittent strabismus, as a normal variant for their developing vision; however, it should not be constant, and it should improve by 2-4 months of age (Loh & Chiang, 2018). The corneal light reflex assessment is used to detect strabismus in infants until the cover test can be performed at a later age with a cooperative child who follows commands (Lee et al, 2018). In some infants with a broad nasal bridge or epicanthal folds, pseudostrabismus, or the benign illusion of strabismus, may be present; however, the corneal T A B L E 3 Risk assessment and vision screening from birth through 6 months of age (Hagan et al, 2017;Hutchinson et al, 2023).…”

Section: Ocular Motility and Alignmentmentioning

confidence: 99%

Newborn and infant vision screening in primary care: A clinical review

Stocks,

Carson

2024

Specialist Pediatric Nursing

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PurposeNewborn and infant vision screening is an essential component of the health promotion visit, where the provider screens for ocular risk factors and abnormalities that may cause future impairment or vision loss. Providers may underestimate the importance of screening or find neonatal vision assessments difficult due to poor patient cooperation or time‐consuming exams, but the reversibility of vision impairment in infants makes early detection paramount to proper treatment. This article provides a clinical review of evidence‐based, practical guidance to providers who care for infants from birth through 6 months of age in the primary care setting.ConclusionsThe comprehensive eye exam in infants should include a thorough history and physical examination of eye structures, visual acuity, evaluation of extraocular movements and alignment, and assessment of the red reflex. Recommended exam maneuvers differ with age as visual acuity improves and development advances through infancy.Practice ImplicationsEarly detection of ocular pathology is critical to avoid permanent vision loss, serious morbidity, and even mortality. The seemingly complex vision screening exam can be completed with little to no cooperation from the patient when a competent pediatric healthcare provider prioritizes opportunistic exam maneuvers. The opportunistic exam allows providers to maximize efficiency while maintaining thorough technique during vision exams and screenings.

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Five steps to: Paediatric vision screening

Cited by 3 publications

References 6 publications

Validity of vision screening program conducted by preschool teachers: An interventional study

Validity of vision screening program conducted by preschool teachers: An interventional study

Presentation pattern and survival rate of retinoblastoma following chemotherapy: a prospective study

Newborn and infant vision screening in primary care: A clinical review

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